Adjuster Support

About this section:

We’ve organized this section as a learning module to guide you on the adjuster’s role in HCAI. We’ll cover the basics like reviewing a form in HCAI and how to mark a decision but we’ll also get in-depth about topics like partial approvals, the days left calendar and how you can make your processes more efficient in HCAI.

Who should review this module:

You’ll find this module helpful if you are involved with:

Adjudicating OCFs in HCAI

Receiving and paying invoices

This module can also help clarify system functionality if you are:

A manger or supervisor interested in learning more about adjusters and their role in HCAI

Involved with setting up or managing feeds and extracts through our integration channels

What you’ll learn:

An overview of the forms available in HCAI

Entering a response on a form

An overview of the ‘Days Left’ calculator

The purpose and importance of reason codes

Updating your response and/or decision in HCAI

How to proceed with this module:

We have organized this module into five logical steps: a form overview, entering a response/decision, the days left calculator, reason codes and updating your response/decision. For the best learning experience, we recommend that you follow these steps in this order.